Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clark Jiro Tingleaf, MD

Individual provider Urology Physician · NPI 1881624153

Dr. Clark Jiro Tingleaf, MD is an Urology in Owasso, Oklahoma. Graduated from University of Texas Medical School at San Antonio in 1995, 31 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
31
Trained at
University of Texas Medical School at San Antonio
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10512 N 110th East Ave Ste 200
Owasso, OK 74055-6636
Phone: (918) 376-8926
Fax: (918) 377-8936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 23509 (OK)

Record details

NPI number1881624153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESSeptember 24, 2019
Mailing address10512 N 110th East Ave, Ste 200, Owasso, OK 74055-6636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1995 (31 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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